Comparison of human and electronic observation for the measurement of compliance with hand hygiene

Filho, Miguel Almeida O.; Marra, Alexandre R.; Magnus, Thyago Pereira; Rodrigues, Rodrigo Dias; Prado, Marcelo; Santini, Tales; Victor, Elivane da Silva; Ishibe, Eder Issao; Santos, Oscar Fernando Pavão dos; Edmond, Michael B.

doi:10.1016/j.ajic.2014.07.031

Cited by 30 publications

(28 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…12 However, another study did not have this problem. 13 There are several limitations in our study. Our electronic observer is not able to discriminate among the WHO's My 5 Moments for Hand Hygiene.…”

Section: Discussionmentioning

confidence: 95%

Measuring hand hygiene compliance rates at hospital entrances

Vaidotas

Yokota

Marra

et al. 2015

American Journal of Infection Control

Self Cite

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 95%

Measuring hand hygiene compliance rates at hospital entrances

Vaidotas

Yokota

Marra

et al. 2015

American Journal of Infection Control

Self Cite

View full text Add to dashboard Cite

“…Self-reporting has been shown to over-estimate hand washing rates [22] and both observation and self-report are vulnerable to Social Desirability biases. Other monitoring strategies have included Radio Frequency Identification (RFID) [17, 20] and video monitoring [23] technology. However, to-date, perhaps the reason for not implementing them in mainstream practice is due to high cost associated with development, maintenance and reliability.…”

Section: Introductionmentioning

confidence: 99%

Real-Time Feedback for Improving Compliance to Hand Sanitization Among Healthcare Workers in an Open Layout ICU Using Radiofrequency Identification

et al. 2015

View full text Add to dashboard Cite

Objective To increase hand sanitizer usage among healthcare workers by developing and implementing a low-cost intervention using RFID and wireless mesh networks to provide real-time alarms for increasing hand hygiene compliance during opportune moments in an open layout Intensive Care Unit (ICU). Method A wireless, RFID based system was developed and deployed in the ICU. The ICU beds were divded into an intervention arm (n=10) and a control arm (n=14). Passive RFID tags were issued to the doctors, nurses and support staff of the ICU. Long range RFID readers were positioned strategically. Sensors were placed beneath the hand sanitizers to record sanitizer usage. The system would alert the HCWs by flashing a light if an opportune moment for hand sanitization was detected. Results A significant increase in hand sanitizer use was noted in the intervention arm. Usage was highest during the early part of the workday and decreased as the day progressed. Hand wash events per person hour was highest among the ancilliary staff followed by the doctors and nurses. Conclusion Real-time feedback has potential to increase hand hygiene compliance among HCWs. The system demonstrates the possibility of automating compliance monitoring in an ICU with an open layout.

show abstract

“…Only one study has reported on changes to the HE on inpatient wards after an HH auditor was no longer present; however, this study examined only the period immediately after the auditor left and did not control for temporal and geographic confounding variables, as our study has done 18. Our findings of a limited duration effect of HE are consistent with previous quantitative research showing that the HE is directly caused by participants’ knowledge that they are being observed, in both HH research10 and non-HH research 19.…”

Section: Discussionmentioning

confidence: 97%

Out of sight, out of mind: a prospective observational study to estimate the duration of the Hawthorne effect on hand hygiene events

et al. 2020

View full text Add to dashboard Cite

BackgroundHuman auditing has been the gold standard for evaluating hand hygiene (HH) compliance but is subject to the Hawthorne effect (HE), the change in subjects’ behaviour due to their awareness of being observed. For the first time, we used electronic HH monitoring to characterise the duration of the HE on HH events after human auditors have left the ward.MethodsObservations were prospectively conducted on two transplant wards at a tertiary centre between May 2018 and January 2019. HH events were measured using the electronic GOJO Smartlink Activity Monitoring System located throughout the ward. Non-covert human auditing was conducted in 1-hour intervals at random locations on both wards on varying days of the week. Two adjusted negative binomial regression models were fit in order to estimate an overall auditor effect and a graded auditor effect.ResultsIn total, 365 674 HH dispensing events were observed out of a possible 911 791 opportunities. In the adjusted model, the presence of an auditor increased electronic HH events by approximately 2.5-fold in the room closest to where the auditor was standing (9.86 events per hour/3.98 events per hour; p<0.01), an effect sustained across only the partial hour before and after the auditor was present but not beyond the first hour after the auditor left. This effect persisted but was attenuated in areas distal from the auditor (total ward events of 6.91*6.32–7.55, p<0.01). Additionally, there was significant variability in the magnitude of the HE based on temporal and geographic distribution of audits.ConclusionThe HE on HH events appears to last for a limited time on inpatient wards and is highly dynamic across time and auditor location. These findings further challenge the validity and value of human auditing and support the need for alternative and complementary monitoring methods.

show abstract

Comparison of human and electronic observation for the measurement of compliance with hand hygiene

Cited by 30 publications

References 18 publications

Measuring hand hygiene compliance rates at hospital entrances

Measuring hand hygiene compliance rates at hospital entrances

Real-Time Feedback for Improving Compliance to Hand Sanitization Among Healthcare Workers in an Open Layout ICU Using Radiofrequency Identification

Out of sight, out of mind: a prospective observational study to estimate the duration of the Hawthorne effect on hand hygiene events

Contact Info

Product

Resources

About